Other Treatments

Custom Orthotics & Bracing

Custom orthotics and ankle-foot bracing act like precision-engineered shock absorbers and alignment tools for your feet. Whether you’re battling plantar fasciitis, flatfoot collapse, diabetic pressure points, or post-operative instability, individually crafted inserts and braces redistribute load, correct faulty mechanics, and let damaged tissues heal—often eliminating the need for medication or surgery.

When Are Custom Orthotics or Braces Recommended?

Clinical Scenario	Goal of the Device	Typical Device Type
Plantar fasciitis, heel spur, metatarsalgia	Cushion & off-load pressure hot-spots	Total-contact EVA orthotic with heel cup & metatarsal pad
Flexible flatfoot, posterior tibial tendon dysfunction (Stage I–II)	Support medial arch, realign heel	Semi-rigid polypro orthotic + medial skive
Cavus (high-arch) foot, recurrent ankle sprain	Lateral forefoot post to balance varus; shock absorption	Carbon-fiber shell with lateral wedge
Diabetic neuropathy & ulcer prevention	Evenly distribute plantar pressure, protect bony prominences	Custom accommodative multilaminate insert (PPT + Plastazote)
Post-op Achilles or ankle-ligament repair	Control range of motion during rehab	CAM walker → lace-up ankle brace
Charcot‐foot consolidation	Long-term immobilisation & off-load	CROW (Charcot Restraint Orthotic Walker)

How We Craft Your Device

Biomechanical exam & pressure scan – gait analysis, subtalar alignment, plantar-pressure map.
3-D digital foot scan or casting – captures exact weight-bearing contours.
CAD/CAM milling – shell milled to ± 0.2 mm accuracy; posting angles preset for your pathology.
Fitting & break-in coaching – progressive wear schedule (1 h → full-day over one week).
Follow-up at 4–6 weeks – minor posting tweaks, top-cover swap, or brace strap adjustments.

Evidence & Outcomes

Condition	Key Study Result
Plantar fasciitis	RCT: custom orthotic + calf stretch ↓ morning pain 50 % in 4 wks vs 15 % with OTC insert alone.
Posterior tibial tendon dysfunction	2-year cohort: 67 % avoided surgery with orthotic + PT regimen (Stage I–II).
Diabetic ulcer prevention	Meta-analysis of 18 trials: 56 % reduction in new plantar ulcers vs standard shoes.
Post-operative ankle-ligament repair	Early lace-up brace allowed safe return-to-sport at 8 wks with no ↑ re-sprain risk.

Our Treatment Philosophy

Data-driven design – pressure mapping and 3-D gait cameras guide posting angles and material density.
Function over bulk – we keep shells slim enough for dress shoes where possible, sport-specific for cleats or skates when needed.
Iterate & educate – every dispense includes break-in tips, shoe-rotation advice, and a 6-month “fit check.”
Lifecycle care – top-covers replaced yearly; shell re-posted if your biomechanics or activity level change.

Frequently Asked Questions

How long do custom orthotics last?

Shells typically last 3–5 years. Top-covers wear faster (12–18 months) and are replaceable.

Will insurance cover them?

Coverage varies. We verify benefits and provide a prescription plus biomechanical report; many FSA/HSA plans reimburse.

Can I move them between shoes?

Yes—most shells fit multiple pairs. We may craft a sport-specific second pair for cleats or cycling shoes.

Take the First Step Toward Better Biomechanics

From heel pain to diabetic ulcer prevention, a precision-made orthotic or brace can be the simplest path to pain-free steps. Schedule a gait and pressure analysis with North Texas Podiatry Associates to design your personalized device.

Request Your Appointment

We’ll reach out within 1 business day to confirm your visit.

First Name

Last Name

Email Address

Phone Number

Preferred Location

Preferred Doctor

Pick a Date

Pick a Time

Reason for Visit

Check this box if you need help within 24 hours.

CAPTCHA